LIPID METABOLISM
-1- Lipids are an energy source that is double that of carbohydrates (9
Calories/gm)
-2- Stored and used in fasting and starvation if no carbohydrates are
available.
-3- Burning fat =oxidation require 20% of carbohydrates’ energy to
complete oxidation.
-4- Dietary fats are:
(70%) Triglycerides derived from animal or vegetable foodstuff.
Cholesterol ????
Neutral fat ??????
Phospholipids ????
-5- Pancreatic lipase (from pancreas juice poured at the duodenum) and
bile salts (from liver bile) are necessary to digest fat (hydrolyses fat
to TG, DG, and MG to Glycerol and fatty acids).
-6- Bile salts emulsify fat and alkalinize medium to activate lipase.
-7- No mouth digestion of fat.
-8- No stomach digestion of fat (acidity block gastric lipase).
-9- Final products of digestion of fat before absorption by the
intestines are:
-9-a- Trigycerides (TG) 70% CH2(OCOR1)-CH(OCOR2)-CH2
(OCOR3).
-9-b- Digycerides (DG) CH2(OH)-CH(OCOR2)-CH2
(OCOR3).
-9-c- Monogycerides (MG) CH2(OH)-CH(OH)-CH2 (OCOR3).
-9-d- Fatty acids RxCOOH
TG + DG + MG + FA with choleric acid in intestinal wall }
bile salts emulsions
-9-e- Glycerol CH2(OH)-CH(OH)-CH2 (OH).
Water soluble inside intestinal wall.
-9-f- Phospholipids: Pancreatic Phosphatidase (in intestine) +
hydrophilic }
hydrolyzed in intestinal wall (emulsifying) into : Glycerol, fatty
acids, phosphate base, and nitrogen base
-9-g- Cholesterol: Bile + fatty acid esterifying + pancreatic
cholesterol esterase } ester inside wall of
intestine.
-9-h- Neutral fat: milky emulsion (chyle)
-10- Circulation:
-10-1- Portal circulation (to liver): Glycerol + FA + Phosphate and
nitrogen bases + bile salts.
-10-2- Lymphatic lacteals (thoracic duct to subclavian vein to right
heart): Cholesterol + neutral fat
- fat globules in blood after fatty meal (lipemia)
- Plasma lipoprotein lipase (catalyzed by heparin and acidic
polysaccharides) hydrolyses it to MG, DG, and FA = clearing factor to be
taken by (tissue + heart + lungs + adipose tissues)
-11- Liver: Fat
-11-1- Storage: If excess fatty liver results
-11-1-a- Diabetes mellitus (severe and untreated) excess fat migration
and storage
-11-1-b- Starvation
-11-1-c- Lipotropic factors deficiency: Needed for phospholipid formation and plasma protein synthesis
1- Choline
2- Methionine
3- Betaine
4- Inosotol
5- Serine
6- Vitamin B12
-11-1-d- Excess cholesterol in diet
-11-1-e- Pancreatic enzymes lack (trypsin and chymotrypsin)
-11-1-f- Proteolytic enzymes lack (cause decrease methionine)
-11-1-g- Injury to liver: alcohol, poisons
-11-2- Conversion: to phospholipids (easily mixed with blood + easily hydrolyzed
by esterases + distributed to tissues + less saturated than
neutral fat == active)
-11-3- Degradation: to non esterified fatty acids.
-12- Blood: 570 mg/100 ml lipid plasma (1-3 hr post absorptive)
1- Phosphatides (phospholipids) = 215 mg (lecithin 50-200 mg + cephalin
50-130 mg + sphyngomyelins 15-35 mg).
2- Cholesterol = 200 mg (2/3 esterified with FA + 1/3 free sterols)
3- TG = 142 mg
4- (NEFA) = 12 mg Free non esterified fatt acids (transport fat from
depots to liver for oxidation + bound to serum albumin + form lipoprotein)
a) Decrease on administration of (fat, calories = glucose , insulin
injection)
b) Increase in Fasting + D.M. + Adrenalin injection + Obesity
-13- Tissue stores of fat (Depots): Chiefly store TG in internal organs
and adipose tissues:
-a- Chief energy reserve: 6 kg neutral fat + Carbohydrates: glycogen
500 g in average man
-b- Constant during starvation: cell contents =phospholipids +
cholesterol= brain, kidney, lung, heart, spleen
-c- Variable on demand to energy requirements: need hormones to
regulate break down to free fatty acids= subcutaneous tissue + abdominal
cavity + intramuscular connective tissue + surrounding organs (holding
heart and kidneys in place)
-d- Enhancers: Insulin increase fatty acid synthesis increase lipid
-e- Deplete: Glucagon + Adrenalin + Growth hormone + prostaglandins +
low fat diet lowering blood essential FA= stimulate lipolysis and activate
lipase by cyclic AMP.
FAT BURNING: ENERGY PRODUCTION:
Free fatty acid oxidation in liver, heart, and kidneys need:
- Thiokinase
- Thiophorase
- ATP and Mg++
- Dehydrogenases: Acyl CoA + FAD and beta hydroxy acyl CoA + NAD
- Hydratase
- Thiolase
1) Hydrolysis: Neutral fat is hydrolyzed by LIPASE to = glycerol +
fatty acids.
2) Activation: Glycerol is activated by ATP and glycerol KINASE to
glycerol-phosphate
Only in Liver and kidney = ATP + alpha glycerokinase
3) Oxidation: Glycerol-phosphate is oxidized by a DEHYDROGENASE + NADH
to dihydroxy-acetone Phosphate and produces 3 ATP molecules. Or oxidation
glyceraldehydes-3-P
4) Dihydroxy-acetone Phosphate is oxidized to Pyruvic acid and gives 5
ATP and enters citric acid cycle bythe action of acetyl CoA to produce 15
ATP
5) Activation: fatty acids activated in cytoplasm of cells (Liver +
Heart + Kidney) by two enzyme sets to combine acetyl CoA by a –S bond:
- Thiokinase + CoA.SH +ATP + Mg++= acetyle CoA
synthetase
- Thiophorase + succinyl CoA
6) Carrier to transmit acidic dervative of CoA (SATURATED FATTY ACID)
from cytoplasm into mitochondrium: Carnitine Ò
- hydroxy, Ó -tri methyl, amino butyric
acid.
7) Unsaturation: inside the mitochondria oxidation means removal of 2
hydrogen atoms by FAD (flavoprotein) and Acyl CoA dehydrogenase = produces
unsaturated fatty acid and shuttle the hydrogen atoms to the resoiratory
chain to produce energy.
8) Hydration of unsaturated fatty acid by enoyl-CoA hydratase produces
hydroxy acyl CoA.
9) Second oxidation by NAD and dehydrogenase produces a keto acyl CoA
and hydrogen atoms to respiratory chain.
10) Cleavage of 2 carbon atoms by Thiolase+ CoA.SH produces final =
fatty acids with 2C less + hydrogen energy to respiratory chain + acetyl
CoA enters citric acid cycle.
Thus oxidation of fatty acids means first activation by energy ATP and
enzymes then transport into mitochondria, then unsaturating it by
oxidation by FAD to remove hydrogen to respiratory chain then hydrating it
and oxidating again then cleaving two carbon atoms to produce acetyl CoA.
Repeating by oxidation and cleavage of C-atoms produces more acetyl CoA
and more energy to the respiratory chain and more acetoacetic acid to
ketosis. Thus saturated fats needs more cycles of oxidation and needs more
enzymes and catalysts to be burn.
11) The fatty acid with 2C less repeat the cycle of cleavage and
degradation.
12) The Acetyl -S.CoA :
- Liver condense 2 molecules to aceto-acetic acid and deliver to blood
stream for extrahepatic tissue use where it enters citric acid cycle.
- In liver if oxaloacetic acid from carbohydrates is available, enter
citric acid to produce carbon dioxide and energy.